Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (68% of admissions), and a typical private pay stay runs around 1 - 2 months.
A skilled nursing and rehabilitation community owned by Debbie Street on Spruce Lane in Elizabethton, Tennessee, is Signature Healthcare of Elizabethton Rehab & Wellness Center. It accepts Medicare, Medicaid, and private pay, providing several ways for families to fund short-term rehabilitation stays and longer-term nursing care. The facility has operated for 33 years and currently supports 94 residents across its community.
The center focuses on rehabilitation and post-acute care, with programs in short-term rehab and respite care. This makes it a pragmatic choice for people recuperating from surgery, an illness, or a hospital stay who need skilled nursing support during their recovery. Daily nursing care averages 3 hours 20 minutes per resident, with registered nurses on staff providing direct oversight alongside nurse aides and licensed practical nurses. Staffing is available 24/7 to support residents needing assistance. The average stay length is 92 days, reflecting a mix of residents in recovery and those receiving ongoing nursing care. At present, the community is operating at 70 percent occupancy, with 66 residents in the 94-bed facility. The surrounding neighborhood scores 68 for walkability, indicating moderate walkability where some errands can be finished on foot and most trips require a quick drive. Daily life is bolstered by home-cooked meals provided on-site, an on-site chapel for spiritual practice, and an array of lifestyle services. Occupants can access transportation to community events and join broader community involvement opportunities. The center also offers personalized care planning, concierge services, and satellite television. It’s organized into smaller neighborhood settings, which many families find builds a more tranquil and personal atmosphere than a larger one-building facility.
Signature Healthcare of Elizabethton Rehab & Wellness Center is a practical choice for people convalescing from surgery, an illness, or a hospital stay who require skilled nursing support as they heal.
Signature Healthcare of Elizabethton Rehab & Wellness Center is administered by Charles Cowan Gilmer.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
State average 3.5
Last Health inspection on May 2025
State average 15.4
State average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 2 citations resulted from standard inspections.
State average: 1.1
State average: 0.6
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
82 contractor hours this quarter
| Certified Nursing Assistant | 45 | 0 | 45 | 13,105 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 16 | 0 | 16 | 4,973 | 92 | 100% | 8.6 |
| RN Director of Nursing | 7 | 0 | 7 | 2,243 | 80 | 87% | 9.3 |
| Registered Nurse | 7 | 1 | 8 | 1,605 | 90 | 98% | 8.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,004 | 74 | 80% | 8.5 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 956 | 73 | 79% | 7.2 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 787 | 67 | 73% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 642 | 68 | 74% | 9.4 |
| Administrator | 2 | 0 | 2 | 568 | 66 | 72% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 539 | 71 | 77% | 6 |
| Physical Therapy Aide | 3 | 0 | 3 | 506 | 65 | 71% | 6.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 486 | 60 | 65% | 7.7 |
| Speech Language Pathologist | 3 | 0 | 3 | 437 | 67 | 73% | 6.1 |
| Dietitian | 1 | 0 | 1 | 328 | 52 | 57% | 6.3 |
| Qualified Social Worker | 3 | 0 | 3 | 145 | 48 | 52% | 3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 44 | 10 | 11% | 4 |
| Medical Director | 0 | 1 | 1 | 36 | 13 | 14% | 2.8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
24% of new residents, usually for short-term rehab.
68% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Signature Healthcare of Elizabethton Rehab & Wellness Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (68% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Elizabethton's city center to Signature Healthcare of Elizabethton Rehab & Wellness Center's address, calculated via Google Maps.
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The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| Ben Atchley Tennessee State Veterans‘ Home | NH SNF | Knoxville | 140
Facility
140
TN AVG
88
Rank
#47 / 425 |
93.7%
Facility
93.7%
TN AVG
71.5
Rank
#27 / 272 | +31% | 4.83
Facility
4.83
TN AVG
3.63
Rank
#14 / 190 | -10% | +33% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 196 | 5
Facility
5
TN AVG
15.4
Rank
#18 / 194 | 1.7
Facility
1.7
TN AVG
4.4
Rank
#9 / 194 | - | 131 | - |
7
Facility
7
TN AVG
34
Rank
#469 / 551 | State Of Tennessee | $19.5MFiscal year ending 06/2024
Facility
$19.5MFiscal year ending 06/2024
TN AVG
$11.5M
Rank
#42 / 194 | $9.0MFiscal year ending 06/2024
Facility
$9.0MFiscal year ending 06/2024
TN AVG
$4.6M
Rank
#15 / 194 | 46.1%Fiscal year ending 06/2024
Facility
46.1%Fiscal year ending 06/2024
TN AVG
41%
Rank
#7 / 194 | 445484 | ||||
| The Heritage at Brentwood | NH AL IL MC SNF | Brentwood | 66
Facility
66
TN AVG
88
Rank
#266 / 425 |
89.7%
Facility
89.7%
TN AVG
71.5
Rank
#47 / 272 | +26% | 5.01
Facility
5.01
TN AVG
3.63
Rank
#11 / 190 | +123% | +38% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 196 | 6
Facility
6
TN AVG
15.4
Rank
#26 / 194 | 3.0
Facility
3.0
TN AVG
4.4
Rank
#48 / 194 | - | 59 | A+ |
7
Facility
7
TN AVG
34
Rank
#469 / 551 | Harpeth Green Properties, LLC | $7.4MFiscal year ending 12/2023
Facility
$7.4MFiscal year ending 12/2023
TN AVG
$11.5M
Rank
#4 / 194 | $11.2MFiscal year ending 12/2023
Facility
$11.2MFiscal year ending 12/2023
TN AVG
$4.6M
Rank
#14 / 194 | 151.7%Fiscal year ending 12/2023
Facility
151.7%Fiscal year ending 12/2023
TN AVG
41%
Rank
#155 / 194 | 445488 | ||||
| The Health Center at Standifer Place | NH ADC AL HC HOS IL MC SNF | Chattanooga (Walker Road) | 125
Facility
125
TN AVG
88
Rank
#67 / 425 |
33.6%
Facility
33.6%
TN AVG
71.5
Rank
#259 / 272 | -53% | 3.45
Facility
3.45
TN AVG
3.63
Rank
#79 / 190 | -7% | -5% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 196 | 16
Facility
16
TN AVG
15.4
Rank
#103 / 194 | 4.0
Facility
4.0
TN AVG
4.4
Rank
#82 / 194 | - | 42 | A+ |
38
Facility
38
TN AVG
34
Rank
#248 / 551 | Covenant Health Services LLC | $42.8MFiscal year ending 12/2023
Facility
$42.8MFiscal year ending 12/2023
TN AVG
$11.5M
Rank
#1 / 194 | $29.7MFiscal year ending 12/2023
Facility
$29.7MFiscal year ending 12/2023
TN AVG
$4.6M
Rank
#1 / 194 | 69.5%Fiscal year ending 12/2023
Facility
69.5%Fiscal year ending 12/2023
TN AVG
41%
Rank
#42 / 194 | 445111 | ||||
| NHC Place Cool Springs | NH AL HOS MC SNF | Franklin (Cool Springs) | 108
Facility
108
TN AVG
88
Rank
#123 / 425 |
67.6%
Facility
67.6%
TN AVG
71.5
Rank
#170 / 272 | -5% | 4.86
Facility
4.86
TN AVG
3.63
Rank
#13 / 190 | +30% | +34% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 196 | 8
Facility
8
TN AVG
15.4
Rank
#43 / 194 | 2.7
Facility
2.7
TN AVG
4.4
Rank
#38 / 194 | 2 | 73 | - |
34
Facility
34
TN AVG
34
Rank
#279 / 551 | Anthony Moore | $15.2MFiscal year ending 12/2023
Facility
$15.2MFiscal year ending 12/2023
TN AVG
$11.5M
Rank
#51 / 194 | $9.4MFiscal year ending 12/2023
Facility
$9.4MFiscal year ending 12/2023
TN AVG
$4.6M
Rank
#19 / 194 | 61.9%Fiscal year ending 12/2023
Facility
61.9%Fiscal year ending 12/2023
TN AVG
41%
Rank
#15 / 194 | 445475 | ||||
| Signature Healthcare of Elizabethton Rehab & Wellness Center | NH HOS PC RC SNF | Elizabethton | 94
Facility
94
TN AVG
88
Rank
#174 / 425 |
71.3%
Facility
71.3%
TN AVG
71.5
Rank
#158 / 272 | 0% | 3.33
Facility
3.33
TN AVG
3.63
Rank
#115 / 190 | -15% | -8% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 196 | 2
Facility
2
TN AVG
15.4
Rank
#1 / 194 | 1.0
Facility
1.0
TN AVG
4.4
Rank
#1 / 194 | - | 67 | - |
68
Facility
68
TN AVG
34
Rank
#37 / 551 | Debbie Street | $7.7MFiscal year ending 12/2023
Facility
$7.7MFiscal year ending 12/2023
TN AVG
$11.5M
Rank
#150 / 194 | $3.3MFiscal year ending 12/2023
Facility
$3.3MFiscal year ending 12/2023
TN AVG
$4.6M
Rank
#170 / 194 | 43%Fiscal year ending 12/2023
Facility
43%Fiscal year ending 12/2023
TN AVG
41%
Rank
#166 / 194 | 445217 |
Signature Healthcare of Elizabethton Rehab & Wellness Center is legally operated by LP Elizabethton, LLC, and administered by Charles Cowan Gilmer.
Signature Healthcare of Elizabethton Rehab & Wellness Center has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TN state health department records, Signature Healthcare of Elizabethton Rehab & Wellness Center's license number is 00000027.
According to TN state health department records, Signature Healthcare of Elizabethton Rehab & Wellness Center's license expires on May 21, 2019.
Signature Healthcare of Elizabethton Rehab & Wellness Center's occupancy is 71%.
No, Signature Healthcare of Elizabethton Rehab & Wellness Center has a no-pet policy.
Signature Healthcare of Elizabethton Rehab & Wellness Center is registered as a for-profit in TN.
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